Archive for the ‘Dyspepsia’ Category
Hernia Hiatal, Digestion in Trouble
You can show up as overweight, gastritis or an ulcer, and causes excessive acidity, heartburn and pain. Hiatal hernia is a disease that indigenous medicine described by the expression “turned up the stomach,” and that is common in older people.
The food we eat every day go out of our mouth to the pharynx, then to the esophagus, the stomach and then end up in the small intestine, where nutrients are absorbed.
This process can be affected when there is a gap opening, the body that connects the esophagus to the stomach, which moves above the diaphragm (muscle separating the chest from the abdomen). This condition, known as hiatal hernia, can be caused by hereditary factors, obesity or a diet high in fat and spices, although it is believed that other causes are still unknown. Read the rest of this entry »
Diagnosis of Dyspepsia
The name of the condition before us comes from the Greek dys, which means bad and dyspepsia that is used as a reference to upper gastrointestinal tract, ie, esophagus, stomach and part of the small intestine (duodenum).
Poor digestion is so common today that the pharmaceutical industry provides solutions to the various symptoms that characterize, from abdominal pain medication, antacids or regulators to gastric juices.
However, living with the discomfort is cumbersome and, as mentioned above, very dangerous, so be repetitive reference should be made to a gastroenterologist to have an accurate diagnosis of the cause of the problem and from this, take accurate measurements. Thus, the specialist may use one or more of the following resources: Read the rest of this entry »
Dyspepsia: Causes and Symptoms
Dyspepsia is known as the difficulties faced by the digestive process to perform its functions, ie, what many people refer to as indigestion, become routine problem that is of seeing a specialist physician in this case, a gastroenterologist.
Certainly no one has escaped from poor digestion, especially after a binge with the participation of fats, pepper and spices in larger quantities which are used, as happens with alcohol or soda (combine is even worse) or caffeine , contained in coffee and black tea mainly.
Dyspepsia also promote smoking (nicotine irritates the gastrointestinal mucosa significantly) in some dairy intake (due to the inability to digest lactose in these products), and even eat in haste, which is very common among residents of large cities.
One or more of these factors will cause the food is not properly digested and its passage from the stomach into the intestine is very slow, so there will be a feeling of fullness, heartburn, belching, flatulence, nausea and diarrhea or constipation. Read the rest of this entry »
Gastroduodenal ulcer (Helicobacter pylori): Diagnosis and Treatment
USE OF ANTI-INFLAMMATORY
Carry out their anti-inflammatory action through numerous and complicated chemical reactions, which enters is the regulation of molecules called prostaglandins, which promote the defenses of the stomach against gastric acid.
The anti-inflammatory inhibit the synthesis of prostaglandins PGs, by which the stomach loses its ability to defend itself, to the point that these drugs, taken continuously, gastric unprotected and uncontrolled, very often lead to gastrointestinal ulcers or minor manifestations of the same etiology.
In the stomach mucosa is well prepared to withstand a pH <2.5.
It counts with several lines of defense:
mucus-bicarbonate layer (see Figure C), which maintains a pH gradient of 2.5 to 7.0 between the surface and deep layer.
the intercellular cohesion phenomena themselves exert mechanical barrier (see Figure D).
microcirculation is also regulated by prostaglandins PGs. (see Figure G).
if the mucosa is adapted to the acidic environment means that for mucosal lesions appear (see Figure E) should be to alter some of these defense mechanisms.
Duodenal ulcer (F): The mechanisms of injury to produce a gastric ulcer are:
Anti-inflammatory drugs (B), both orally and by other means come to the gastric mucosa and are losing the protective outer coating (C).
Infection with the bacterium Helicobacter pylori (A) that flourishes in the gastric mucosa.
Diagnosis
The courtship is fairly typical symptom diagnosis. Is often complemented by performing a gastroscopy, to see the lesions, biopsy of the lesions for analysis and culture for Helicobacter pylori.
Control of Helicobacter pylori infection can be performed by a simple test that measures the CO2 in the breath. This is done by administration through the mouth of Carbon *- marking / Urea and mixed with citric acid, if the patient is Helicobacter pylori Urease produced by this bacteria, are transformed into CO2 and ammonia.
*- Labeled carbon / Urease Urea + = C02 + NH3
The CO2 released through the blood appears in the breath through the lungs. The measurement of CO2 marking is done in two takes, basal and half hour to take the Carbon *- Urea. The sensitivity of the test is 90% and specific in 95% of cases. This analysis can be given to control infection or to continue with longer treatment.
General on the treatment of gastroduodenal ulcer
Antibiotic treatment is indicated in all patients with Helicobacter pylori infection (85% of patients with gastric ulcer at present).
There is no ideal antibiotic therapy, there are several options.
Antiulcer therapy (AntiH2-omeprazole) is recommended to relieve symptoms and promote healing.
The rebels ulcers require a combination of antibiotic secretion inhibitors.
Maintenance treatment is indicated in these ulcers rebels.
In all ulcer patients should be investigated the use of NSAIDs (nonsteroidal anti-inflammatory).
In ulcers associated with NSAIDs (nonsteroidal anti-inflammatory drugs) such must be discontinued, if possible, and eradicate Helicobacter pylori, if present.
Gastroduodenal ulcer (Helicobacter pylori)
Definition
A peptic ulcer is a sore in the lining of the stomach or duodenum, which is a layer lining these organs inside to avoid injuring the effect of digestive juices with those who are in permanent contact. This is a very common disease that produces a characteristic pain and changes in quality of life in those affected.
Symptoms
Most characteristic of peptic ulcer is the appearance of pain or unpleasant sensations in the abdominal region, which may have one or more of the following characteristics:
Pain in upper abdomen (epigastrium) appearing at 30 to 60 minutes after eating.
Onset pain at night (when the stomach is empty). Read the rest of this entry »